scholarly journals SOME WORDS ABOUT FRACTURES OF RADIAL HEAD

2020 ◽  
Vol 3 (10) ◽  
pp. 1106-1108
Author(s):  
BERNARDINO SACCOMANNI
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Distal Radioulnar Joint ◽  
Safe Zone ◽  
Lateral View ◽  
Fat Pad ◽  
Radioulnar Joint ◽  
Elbow Injuries ◽  
Surgical Fixation ◽  
Minimal Treatment

A visible posterior fat pad on the lateral view of the elbow is a sign of occult intraarticular pathology. Early elbow ROM is needed to prevent stiffness. If you fixed the fracture, but not well enough to move the elbow, you did not fix it. The “safe zone” for placing hardware on the radial head lies in the interval between the radial styloid and Lister’s tubercle. Examine the wrist when examining all elbow injuries; a radial head fracture may be accompanied by a tear of the interosseous membrane and disruption of the distal radioulnar joint. The posterior interosseous nerve (controlling finger and wrist extension) can be damaged by a radial head injury or by the surgery performed to treat the fracture. Therefore, document functional status preoperatively. The severity of these injuries runs the gamut from minimally displaced fractures needing minimal treatment to those with major displacement or comminution, requiring surgical fixation, excision, or replacement.

The Essex–Lopresti Lesion: A Variant with a Bony Distal Radioulnar Joint Injury

2006 ◽  
Vol 31 (2) ◽  
pp. 206-207 ◽  
Author(s):  
J. AUYEUNG ◽  
G. BROOME
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Soft Tissue Injuries ◽  
Distal Radioulnar Joint ◽  
Joint Injury ◽  
Radioulnar Joint ◽  
Membrane Rupture ◽  
Ulnar Head ◽  
Proximal Migration ◽  
Essex Lopresti

The Essex–Lopresti lesion is an unusual injury, consisting of a radial head or neck fracture, distal radioulnar joint (DRUJ) injury and interosseous membrane rupture. To date, all reported Essex–Lopresti lesions have consisted of soft tissue injuries at the DRUJ. We present a case of an Essex–Lopresti lesion with a bony variant, in which the DRUJ injury consisted of an ulnar head fracture associated with radial head fracture and acute proximal migration of the radius. The management involved plating of the ulnar head fracture and titanium replacement of the radial head.

UNUSUAL PATTERN OF ESSEX-LOPRESTI INJURY WITH NEGATIVE PLAIN RADIOGRAPHS OF THE WRIST: A CASE REPORT AND LITERATURE REVIEW

Hand Surgery ◽  
2010 ◽  
Vol 15 (01) ◽  
pp. 41-45 ◽  
Author(s):  
Juan Rodriguez-Martin ◽  
Juan Pretell-Mazzini ◽  
Carlos Vidal-Bujanda
Keyword(s):  
Radial Head ◽  
Radial Head Fracture ◽  
Distal Radioulnar Joint ◽  
Interosseous Membrane ◽  
Radioulnar Joint ◽  
Unusual Pattern ◽  
Radial Neck Fracture ◽  
Radial Neck ◽  
Neck Fracture ◽  
Essex Lopresti

The Essex-Lopresti injury consists of a fracture of the radial head, rupture of the interosseous membrane and disruption of the distal radioulnar joint. The greatest challenge with this injury pattern is the diagnosis, because it is frequently missed and the attention usually focused on the elbow joint. In this paper we report an unusual pattern of Essex-Lopresti injury with a radial neck fracture, a tear of the interosseous membrane and a disruption of the distal radioulnar joint in which initial wrist radiographs did not show significative abnormalities. Open reduction and internal fixation for the radial head fracture was performed. Forearm rotation was locked with two Kirschner wires from ulna to radius to allow interosseous membrane to heal. This case is even more difficult to diagnose than classic Essex-Lopresti pattern because of the absence of radius shortening, due to this specific radius fracture pattern, and also the absence of distal radioulnar joint dislocation. When treating a radial head fracture but also a radial neck fracture, interosseous membrane injury should be suspected to avoid misleading in diagnosis.

scholarly journals Clinical and Non-Clinical Aspects of Distal Radioulnar Joint Instability

2012 ◽  
Vol 6 (1) ◽  
pp. 204-210 ◽  
Author(s):  
MME Wijffels ◽  
PRG Brink ◽  
IB Schipper
Keyword(s):  
Distal Radioulnar Joint ◽  
Lateral View ◽  
Joint Capsule ◽  
Clinical Aspects ◽  
Clinical Tests ◽  
Radioulnar Joint ◽  
Radiologic Evaluation ◽  
Druj Instability ◽  
Common Diagnosis ◽  
Extensive Range

Untreated distal radioulnar joint (DRUJ) injuries can give rise to long lasting complaints. Although common, diagnosis and treatment of DRUJ injuries remains a challenge. The articulating anatomy of the distal radius and ulna, among others, enables an extensive range of forearm pronosupination movements. Stabilization of this joint is provided by both intrinsic and extrinsic stabilizers and the joint capsule. These structures transmit the load and prevent the DRUJ from luxation during movement. Several clinical tests have been suggested to determine static or dynamic DRUJ stability, but their predictive value is unclear. Radiologic evaluation of DRUJ instability begins with conventional radiographs in anterioposterior and true lateral view. If not conclusive, CT-scan seems to be the best additional modality to evaluate the osseous structures. MRI has proven to be more sensitive and specific for TFCC tears, potentially causing DRUJ instability. DRUJ instability may remain asymptomatic. Symptomatic DRUJ injuries treatment can be conservative or operative. Operative treatment should consist of restoration of osseous and ligamenteous anatomy. If not successful, salvage procedures can be performed to regain stability.

Distal radioulnar joint dislocation in association with elbow injuries

Injury ◽  
2005 ◽  
Vol 36 (2) ◽  
pp. 324-329 ◽  
Author(s):  
A.K. Malik ◽  
P. Pettit ◽  
J. Compson
Keyword(s):  
Distal Radioulnar Joint ◽  
Joint Dislocation ◽  
Radioulnar Joint ◽  
Elbow Injuries

ACUTE PLASTIC BOWING OF THE RADIUS WITH A DISTAL RADIOULNAR JOINT INJURY: A CASE REPORT

Hand Surgery ◽  
2010 ◽  
Vol 15 (03) ◽  
pp. 217-220 ◽  
Author(s):  
Masashi Uehara ◽  
Hiroshi Yamazaki ◽  
Hiroyuki Kato
Keyword(s):  
Case Report ◽  
Internal Fixation ◽  
Radial Head ◽  
Rare Case ◽  
Distal Radioulnar Joint ◽  
Ulnar Styloid ◽  
Joint Injury ◽  
Radioulnar Joint ◽  
Joint Injuries ◽  
Macroscopic Fracture

Acute plastic bowing is an incomplete fracture with a deformation that shows no obvious macroscopic fracture line or cortical discontinuity. Although cases of acute plastic bowing of the ulna with a dislocation of the radial head have been previously reported, we present here a rare case of acute plastic bowing of the radius with a distal radioulnar joint injury in a 16-year-old boy. Internal fixation of the detached fragment to the ulnar styloid and repair of the triangular fibrocartilagenous complex resulted in the disappearance of wrist pain. In cases of distal radioulnar joint injuries in children or adolescents, radiographs of the entire forearm should be taken to evaluate the existence of radial bowing.

Is an extension of the safe zone possible without jeopardizing the proximal radioulnar joint when performing a radial head plate osteosynthesis?

2015 ◽  
Vol 24 (10) ◽  
pp. 1627-1634 ◽  
Author(s):  
Christian Ries ◽  
Marcel Müller ◽  
Kilian Wegmann ◽  
Doreen B. Pfau ◽  
Lars P. Müller ◽  
...  
Keyword(s):  
Radial Head ◽  
Plate Osteosynthesis ◽  
Safe Zone ◽  
Radioulnar Joint

scholarly journals Isolated Volar Distal Radioulnar Joint Dislocation, a Very Rare and Easily Missed Injury.

2021 ◽  
Vol 5 (2) ◽  
pp. 887-890
Author(s):  
Dimitar Petrevski ◽  
Ivo Donevski ◽  
Antonio Andonovski ◽  
Radmila Mihajlova-Ilie ◽  
Simon Trpeski
Keyword(s):  
Physical Examination ◽  
Distal Radioulnar Joint ◽  
Lateral View ◽  
Accurate Diagnosis ◽  
Anterior Dislocation ◽  
Ulnar Styloid ◽  
Radioulnar Joint ◽  
Missed Injury ◽  
Dorsal Aspect ◽  
Bony Prominence

Background: Isolated distal radioulnar joint (DRUJ) dislocations without associated fracture are very rare entities. A few mechanisms of injury were reported in the literature with dorsal(posterior) dislocation being more common than the volar (palmar, anterior) dislocation. Case report: A 26-year-old male, manual laborer presented to our emergency department (ED) 24 hours post-self-inflected injury with right wrist pain, deformity, and decreased range of motion (ROM). The physical examination showed bruising over the dorsal ulnar side of the wrist, loss of the ulnar styloid bony prominence, abnormal volar fullness of the wrist, and gutter deformity on the dorsal aspect of the distal forearm and wrist. The diagnosis was confirmed by comparative radiographs which were followed by closed reduction and immobilization in the below-elbow cast in pronation for 4 weeks. Conclusion: Timely accurate diagnosis and conservative treatment with favorable outcome necessitate a proper history on the mechanism of injury with a thorough physical examination, accurate radiographic positioning, and true lateral view.

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